| Entity Name: | JERRY W. MULLIS JR., M.D. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Sep 1997 (27 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Dec 2019 (5 years ago) |
| Document Number: | P97000082372 |
| FEI/EIN Number | 59-3470094 |
| Address: | 2262 BEACHCOMBER TR, ATLANTIC BEACH, FL 32233 |
| Mail Address: | 2262 BEACHCOMBER TR, ATLANTIC BEACH, FL 32233 |
| ZIP code: | 32233 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| MANGINE, William J | Agent | 1692 Penman RD, JACKSONVILLE BEACH, FL 32250 |
| Name | Role | Address |
|---|---|---|
| MULLIS, JERRY WJR. | President | 2262 BEACH COMBER TRL, ATLANTIC BEACH, FL 32233 |
| Name | Role | Address |
|---|---|---|
| MULLIS, JERRY WJR. | Secretary | 2262 BEACH COMBER TRL, ATLANTIC BEACH, FL 32233 |
| Name | Role | Address |
|---|---|---|
| MULLIS, JERRY WJR. | Treasurer | 2262 BEACH COMBER TRL, ATLANTIC BEACH, FL 32233 |
| Name | Role | Address |
|---|---|---|
| MULLIS, JERRY WJR. | Director | 2262 BEACH COMBER TRL, ATLANTIC BEACH, FL 32233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-12-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-30 | 1692 Penman RD, JACKSONVILLE BEACH, FL 32250 | No data |
| REINSTATEMENT | 2017-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-12-01 | MANGINE, William J | No data |
| REINSTATEMENT | 2015-12-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-05-14 | 2262 BEACHCOMBER TR, ATLANTIC BEACH, FL 32233 | No data |
| CHANGE OF MAILING ADDRESS | 2012-05-14 | 2262 BEACHCOMBER TR, ATLANTIC BEACH, FL 32233 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000050894 | TERMINATED | 1000000646618 | DUVAL | 2014-11-25 | 2025-01-08 | $ 678.48 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-07-18 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-07-19 |
| REINSTATEMENT | 2019-12-04 |
| ANNUAL REPORT | 2018-04-30 |
| REINSTATEMENT | 2017-10-10 |
| ANNUAL REPORT | 2016-04-29 |
| REINSTATEMENT | 2015-12-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
